| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $19.05 | |
Aetna
| Professional | $15.85 | $19.05 | $25.70 | |
Molina
| Professional | $30.20 | $44.67 | $54.95 | |
Select Health
| Professional | $28.18 | $28.84 | $28.84 | |
U of Utah Health Plan
| Professional | $24.55 | $30.90 | $32.36 |